I, the undersigned, do hereby agree to participate, or allow my child or ward to participate, in the aforementioned activity. I assume all risks and liability that may arise from my or their participation in this activity. I understand that there are risks inherent in this recreational activity and that it carries the possibility of physical injury including serious injury or fatality. With regard to the activity to which this form applies, nothing shall be construed to grant an expressed or implied warranty of safety. I understand that each participant has the responsibility to exercise due care for the safety of himself/herself and of the other participants. I further understand that the Capital Region Land Conservancy, its officers, agents, employees, volunteers, event partners, and sponsors are not liable for any injury including that which may result from the negligence of persons conducting this program and I assume all risks and liability that may arise from my involvement and participation in this activity.

In accordance with section 8.01-40 of the Code of Virginia, I hereby give permission to be photographed, or for my child or ward to be photographed, during this activity, and I give Capital Region Land Conservancy permission to use or distribute such photographs without identification.